Da Form 137-1 - Unit Clearance Record Page 2
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2SECTION D - PROPERTY ACCOUNTABILITY AND PAY ITEMS
11. PROPERTY ACCOUNTABILITY
11a.
11d. DISPOSITION
11b. DATE OF SOURCE DOCUMENT
STATEMENT OF CHARGES/ CASH
(YYYYMMDD)
COLLECTION VOUCHER
REPORT OF SURVEY
11c. AMOUNT
12a. PAY ITEMS(Check all that apply)
12c. BONUS
12b. INCENTIVE PAY (Specify Type)
BAS
BAH
COLA
OHA
FSA
IDP
HPD
SDAP
ENLISTMENT
REENLISTMENT
OTHER (Specify)
SECTION E - BATTALION/UNIT CLEARANCE ITEMS. A check by an item confirms that the item has been verified and that necessary action has been taken.
13. BATTALION S1/UNIT COMMANDER VERIFYING OFFICIAL
a. NAME
(Last, First, Middle)
b. SIGNATURE
c. DATE (YYYYMMDD)
DA Form 31 (Request & Authority for Leave
DA Form 5305 (Family Care Plan)
EMILPO Duty Position
TRICARE Dental Program
DD Form 714 (Meal Card Control Book)
DD Form 2648/DD Form 2648-1
DA Form 6 (Duty Roster)
Exceptional Family Member Program
DA Form 2173 (Line of Duty Investigation)
Exit Survey/DD Form 2958
E-Profile
ADPAAS Update
Unit Items
DA Form 268 (Flag)
DA Form 647-1 (Personnel Register)
DD Form 93/SGLV Update
DA Form 67-10/2166-8 (Evaluation Reports
DA Forms 5500/5501 (Body Composition Program)
DA Form 3955 (Change of Address)
DoD Travel Charge Card
14. BATTALION S1/3/UNIT COMMANDER VERIFYING OFFICIAL
a. NAME
(Last, First, Middle)
b. SIGNATURE
c. DATE (YYYYMMDD)
Security Briefing/Debriefing
APFT
Security Clearance
Weapons Qualification
Training Records
Antiterrorism Briefing
PERSTEMPO Verification Sheet
Training Room
15.
BATTALION S4/UNIT COMMANDER VERIFYING OFFICIAL
a. NAME
(Last, First, Middle)
b. SIGNATURE
c. DATE (YYYYMMDD)
Supply Room
NBC Room
Motor Pool
Arms Room
Protective Mask Inserts
16.
OTHER
a. OTHER CLEARANCES
b. NAME
c. SIGNATURE
(Last, First, Middle)
d. DATE (YYYYMMDD)
Career Counselor
17. REMARKS
18. SOLDIER'S AUTHENTICATION
a. NAME
(Last, First, Middle)
b. SIGNATURE
c. DATE (YYYYMMDD)
19. COMMANDER/1SG AUTHENTICATING OFFICIAL
a. NAME
b. SIGNATURE
c. DATE (YYYYMMDD)
(Last, First, Middle)
Page 2 of 2
DA FORM 137-1, FEB 2015
APD LC v1.01ES
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Parent category: Business